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Organization
MID-FLORIDA OB GYN HOSPITALIST PHYSICIAN SERVICES L L C
Active
Organization
MID-FLORIDA OB GYN HOSPITALIST PHYSICIAN SERVICES L L C
Active
Parent organization
MID-FLORIDA PHYSICIAN SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-FLORIDA PHYSICIAN SERVICES, LLC
Authorized official
DAVE MACDOUGALL (CFO)
(863) 293-1121
Entity
Organization
Contact information
Practice address
101 AVENUE O NE, WINTER HAVEN, FL 33881
(863) 293-1121
(863) 297-1867
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 297-1867
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
10/31/2008
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